COVID-19 mRNA vaccine, 50 mcg dose at UPMC Northwest

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

COVID-19 SPIKEVAX MODERNA 12+Y

Seneca, PA

See all hospitals reporting CPT 91322 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Northwest’s median price of $199 is 5% above the median hospital's median price ($189), higher than 54% of the 1,508 hospitals reporting CPT 91322. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 91322 at UPMC Northwest

Negotiated rates from the hospital’s own file: 7 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	UnitedHealthcare unison kids facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
2	Aetna medicaid facility · fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
4	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$83	$87	$14	16%	—	$72 – $106
5	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$133	$139	$23	16%	—	$116 – $170
6	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$133	$139	$23	16%	—	$116 – $170
7	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$133	$139	$23	16%	—	$116 – $170
8	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$133	$139	$23	16%	—	$116 – $170
9	Highmark medicaid facility · fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
10	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$166	$174	$28	16%	—	$145 – $213
11	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$193	$202	$33	16%	—	$168 – $247
12	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$199	$209	$34	16%	—	$173 – $255
13	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$199	$209	$34	16%	—	$173 – $255
14	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$205	$215	$35	16%	—	$178 – $262
15	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$206	$216	$35	16%	—	$179 – $264
16	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$209	$220	$36	16%	—	$182 – $268
17	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$209	$220	$36	16%	—	$182 – $268
18	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$211	$222	$36	16%	—	$184 – $271
19	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$216	$227	$37	16%	—	$188 – $276
20	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$216	$227	$37	16%	—	$188 – $276
21	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$232	$244	$40	16%	—	$202 – $298
22	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$232	$244	$40	16%	—	$202 – $298
23	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$282	$296	$48	16%	—	$246 – $361
24	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$282	$296	$48	16%	—	$246 – $361
25	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$797	$797	—	—	—	$797 – $797

Page 1 of 2 · 26 rates

Last updated: Mar 6, 2026

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See COVID-19 mRNA vaccine, 50 mcg dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.